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August 2022 News Releases, University Of Montana--Missoula. Office Of University Relations

University of Montana News Releases, 1928, 1956-present

No abstract provided.

Emergency Department Communication In Persons Living With Dementia And Care Partners: A Scoping Review, Christopher R Carpenter, Jesseca Leggett, Fernanda Bellolio, Marian Betz, Ryan M Carnahan, David Carr, Michelle Doering, Jennie Chin Hansen, Eric D Isaacs, Deborah Jobe, Kathleen Kelly, Nancy Morrow-Howell, Beth Prusaczyk, Bob Savage, Joe Suyama, Allan S Vann, Kristin L Rising, Ula Hwang, Manish N Shah

Faculty, Staff and Student Publications

OBJECTIVES: To synthesize published research exploring emergency department (ED) communication strategies and decision-making with persons living with dementia (PLWD) and their care partners as the basis for a multistakeholder consensus conference to prioritize future research.

DESIGN: Systematic scoping review.

SETTINGS AND PARTICIPANTS: PLWD and their care partners in the ED setting.

METHODS: Informed by 2 Patient-Intervention-Comparison-Outcome (PICO) questions, we conducted systematic electronic searches of medical research databases for relevant publications following standardized methodological guidelines. The results were presented to interdisciplinary stakeholders, including dementia researchers, clinicians, PLWD, care partners, and advocacy organizations. The PICO questions included: How does communication differ for …

Detecting Cognitive Impairment And Dementia In The Emergency Department: A Scoping Review, Armin Nowroozpoor, Jeff Dussetschleger, William Perry, Mary Sano, Amy Aloysi, Michael Belleville, Alexandria Brackett, Jon Mark Hirshon, William Hung, Joan Michelle Moccia, Ugochi Ohuabunwa, Manish N Shah, Ula Hwang

Faculty, Staff and Student Publications

OBJECTIVES: To identify research and practice gaps to establish future research priorities to advance the detection of cognitive impairment and dementia in the emergency department (ED).

DESIGN: Literature review and consensus-based rankings by a transdisciplinary, stakeholder task force of experts, persons living with dementia, and care partners.

SETTING AND PARTICIPANTS: Scoping reviews focused on adult ED patients.

METHODS: Two systematic scoping reviews of 7 medical research databases focusing on best tools and approaches for detecting cognitive impairment and dementia in the ED in terms of (1) most accurate and (2) most pragmatic to implement. The results were screened, reviewed, and …

Geriatric Cardiology: Coming Of Age, Parag Goyal, Min Ji Kwak, Christina Al Malouf, Manish Kumar, Namit Rohant, Abdulla A Damluji, Quin E Denfeld, Kim K Bircher, Ashok Krishnaswami, Karen P Alexander, Daniel E Forman, Michael W Rich, Nanette K Wenger, James N Kirkpatrick, Jerome L Fleg

Faculty, Staff and Student Publications

Older adults with cardiovascular disease (CVD) contend with deficits across multiple domains of health due to age-related physiological changes and the impact of CVD. Multimorbidity, polypharmacy, cognitive changes, and diminished functional capacity, along with changes in the social environment, result in complexity that makes provision of CVD care to older adults challenging. In this review, we first describe the history of geriatric cardiology, an orientation that acknowledges the unique needs of older adults with CVD. Then, we introduce 5 essential principles for meeting the needs of older adults with CVD: 1) recognize and consider the potential impact of multicomplexity; 2) …

Emergency Department Communication In Persons Living With Dementia And Care Partners: A Scoping Review, Christopher R Carpenter, Jesseca Leggett, Fernanda Bellolio, Marian Betz, Ryan M Carnahan, David Carr, Michelle Doering, Jennie Chin Hansen, Eric D Isaacs, Deborah Jobe, Kathleen Kelly, Nancy Morrow-Howell, Beth Prusaczyk, Bob Savage, Joe Suyama, Allan S Vann, Kristin L Rising, Ula Hwang, Manish N Shah

Department of Emergency Medicine Faculty Papers

OBJECTIVES: To synthesize published research exploring emergency department (ED) communication strategies and decision-making with persons living with dementia (PLWD) and their care partners as the basis for a multistakeholder consensus conference to prioritize future research.

DESIGN: Systematic scoping review.

SETTINGS AND PARTICIPANTS: PLWD and their care partners in the ED setting.

METHODS: Informed by 2 Patient-Intervention-Comparison-Outcome (PICO) questions, we conducted systematic electronic searches of medical research databases for relevant publications following standardized methodological guidelines. The results were presented to interdisciplinary stakeholders, including dementia researchers, clinicians, PLWD, care partners, and advocacy organizations. The PICO questions included: How does communication differ for …

Fall Prediction Based On Instrumented Measures Of Gait And Turning In Daily Life In People With Multiple Sclerosis, Ishu Arpan, Vrutangkumar Shah, James Mcnames, Graham Harker, Patricia Carlson-Kuhta, Rebecca I. Spain, Mahmoud El-Gohary, Martina Mancini, Fay Horak

Electrical and Computer Engineering Faculty Publications and Presentations

This study investigates the potential of passive monitoring of gait and turning in daily life in people with multiple sclerosis (PwMS) to identify those at future risk of falls. Seven days of passive monitoring of gait and turning were carried out in a pilot study of 26 PwMS in home settings using wearable inertial sensors. The retrospective fall history was collected at the baseline. After gait and turning data collection in daily life, PwMS were followed biweekly for a year and were classified as fallers if they experienced >1 fall. The ability of short-term passive monitoring of gait and turning, …

International Recruitment: China Recruiters’ Experience During Covid-19 Pandemic

Journal of Comparative & International Higher Education

No abstract provided.

Patients' Experiences In Using Diabetes Self-Management Application: A Scoping Review, Siti Kamillah, Santhna Letchmi Panduragan, Sandeep Poddar, Bibi Florina Abdullah

Kesmas

Diabetes cases continue to increase and burden the nursing system worldwide. Diabetes Self-Management application software (DSM apps) can enable patients to manage their disease independently while simultaneously reducing the burden of the system. These apps are already available, yet global patients’ interests in using them are still low. This study aimed to describe the global tendencies of diabetes apps usage as an effort to manage diabetes cases by exploring the perceptions of diabetes patients on the use of DSM apps. This study summarized journal searches from the Elsevier, Wiley, BMC, and JMIR database with the search terms “web-based and mobile …

Successful Aging Through Aging In Place : The Perspectives Of The Elderly And Adult Children In Shenzhen, Feng Huang

Lingnan Theses (Doctoral degree)

Aging in place (AIP) has been adopted to cope with the aging population worldwide. The present research invoked the concept of successful aging as a theoretical perspective on AIP with Shenzhen, China as the backdrop. This study adopted the successful aging model of Rowe and Kahn (1987, 1997, 1998) and employed a mixed methods with qualitative and quantitative research. It examined the AIP policies in China and Shenzhen and how the “users” (the elderly and adult children) perceive AIP and successful aging. It also explored which factors would affect successful aging through AIP. Findings showed that financial security and intergenerational …

2022 July 28 - Academic Council Agenda And Minutes, Academic Council, East Tennessee State University

Academic Council Agenda and Minutes

No abstract provided.

Masturbatory Behaviors Among Older Adult Populations: A Literature Review, Brandon Tischer

Journal of Undergraduate Research at Minnesota State University, Mankato

Sexual behaviors, such as masturbation, extend into older adulthood (50+ years in chronological age) and are present at all stages of the aging process. Different living situations and circumstances for older adults can affect masturbatory behavior, such as death of spouse, living in long-term care facilities, and cognitive decline. This literature review evaluates extant research on older adult masturbation, comprising 29 articles included in the final review, all published between 1991 and 2021. They consist of literature reviews, meta-studies, cross-sectional studies, semi-structured interviews, systematic reviews, and case studies. Current evidence suggests that masturbatory behaviors are an important part of older …

Addressing Ethical Issues In The Design Of Smart Home Technology For Older Adults And People With Disabilities., Jonathan Turner, Dympna O'Sullivan, Damian Gordon, Yannis Stavrakakis, Brian Keegan, Emma Murphy

Articles

Unique ethical, privacy and safety implications arise for people who are reliant on home-based smart technology due to health conditions or disabilities. In this paper we highlight a need for a reflective, inclusive ethical framework that encompasses the life cycle of smart home technology. We present key ethical considerations for smart home technology for older adults and people with disabilities and argue for ethical frameworks which combine these key considerations with existing models of design and development.

The Nature And Experiences Of Cohabitation In Non-Marital Couples, Bryan Rendon

McNair Scholars Research

This study aims to explore the phenomenon of cohabitation by gathering the unique experiences of couples who are currently in a non-marital cohabitative relationship. The driving research question are as follows: What are the unique experiences of cohabtitative couples and what common themes do their stories share? A phenomenological qualitative methodology was used to collect, transcribe and code the narrative data from three interviews with couples currently living in a shared space and self-identifying as non-marital cohabiting couples. The results and discussion section include three significant themes identified in all three couples that include: 1) Difficulty in Transition From Independence …

Reducing Falls Related To Toileting, Brian Locastro

Student Scholarly Projects

Practice Problem: The practice problem for the medical-surgical unit is a high rate of falls associated with toileting activities, despite universal fall precautions for all patients. The current fall rate is an average rate of 4 falls per 1,000 patient days.

PICOT: The PICOT question that guided this project was: Among adult patients in the inpatient medical-surgical unit (P), what is the effect of adding a toileting care plan (I) to the current practice of universal fall precautions (C) to reduce the severity and incidence of falls (O) within an 8-week period (T)?

Evidence: Nine high-quality articles supported a toileting …

Medication Administration Errors: Actions, Barriers And Preventions, Alyssa Slone

University Honors Program

Nurses play a huge role in the medication administration process. Medication administration errors have been around for a while and keep increasing in number. Communication amongst healthcare professionals helps prevent medication errors from happening. Communication increases the knowledge that patients have about their care to reduce any adverse errors that could occur. Medication administration programs, like MedEye and IndentRx, help prevent medication errors. A way to familiarize nurses with medication is to start implementing the administration process in the nursing program curriculum. There are different influential factors that can result in medication errors. The similar packaging of the medications alongside …

Respect Your Elders: An Examination Of Elder Care In The United States, Amy Jassman

University Honors Program

Insurance, healthcare, and workplace conditions are concerns of many senior citizens in the United States. This paper examines the repercussions of governmental policies and older adult stereotypes on the overall quality of care for older adults in the United States of America. This quality of care will be determined by analyzing how England’s, South Korea’s, Germany’s, Canada’s, and India’s programs and values with respect to elder care have impacted the health and well-being of the elderly. Studies on insurance systems, long-term care facilities, and workplace discrimination will be reviewed and compared. The findings show the United States to be trailing …

Respect Your Elders: An Examination Of Elder Care In The United States, Amy Jassman

University Honors College

Insurance, healthcare, and workplace conditions are concerns of many senior citizens in the United States. This paper examines the repercussions of governmental policies and older adult stereotypes on the overall quality of care for older adults in the United States of America. This quality of care will be determined by analyzing how England’s, South Korea’s, Germany’s, Canada’s, and India’s programs and values with respect to elder care have impacted the health and well-being of the elderly. Studies on insurance systems, long-term care facilities, and workplace discrimination will be reviewed and compared. The findings show the United States to be trailing …

Medication Administration Errors: Actions, Barriers And Preventions, Alyssa Slone

University Honors College

Nurses play a huge role in the medication administration process. Medication administration errors have been around for a while and keep increasing in number. Communication amongst healthcare professionals helps prevent medication errors from happening. Communication increases the knowledge that patients have about their care to reduce any adverse errors that could occur. Medication administration programs, like MedEye and IndentRx, help prevent medication errors. A way to familiarize nurses with medication is to start implementing the administration process in the nursing program curriculum. There are different influential factors that can result in medication errors. The similar packaging of the medications alongside …

Social Prescribing For Older People And The Role Of The Cultural Sector During The Covid-19 Pandemic: What Are Link Workers' Views And Experiences?, Stephanie Tierney, Caroline Potter, Kathryn Eccles, Oluwafunmi Akinyemi, Jordan Gorenberg, Sebastien Libert, Geoff Wong, Amadea Turk, Kerryn Husk, Helen J. Chatterjee, Emma Webster, Beth Mcdougall, Harriet Warburton, Lucy Shaw, Kamal R. Mahtani

Peninsula Medical School

Abstract Older people's well-being can be bolstered by engaging with cultural activities and venues. They may be encouraged to try cultural offers by a link worker as part of social prescribing. However, the cultural sector, like all parts of life, was affected by the COVID-19 pandemic; this has had implications for cultural offers available to link workers. A study was conducted to explore the views and experiences of link workers in using the cultural sector within social prescribing, particularly for older people (aged 60+) during the pandemic. An online questionnaire was distributed to and completed by link workers in the …

Exercise Effects On Cognition In Older African Americans: A Pilot Randomized Trial, Kathryn L. Gwizdala, Robert Brouillete, Robbie Beyl, William Johnson, Callie Hebert, Leah Carter, Melissa Harris, Robert L. Newton, Owen T. Carmichael

Clinical Research Faculty Publications

Introduction: Regular physical activity lowers risk for cognitive decline and neurodegenerative disorders. Older African Americans (AAs) have been underrepresented in trials that increased physical activity to improve cognitive outcomes. Methods: 56 sedentary, older, cognitively healthy AAs (avg. 69.2 ± 3.4 yrs. old) were randomized in 1:1 ratio into either a 12-week successful aging group (SAG) or a 12-week physical activity group (PAG). Participants in SAG attended weekly 60-min educational sessions in which healthy aging topics were discussed. Participants in PAG attended supervised physical activity sessions twice per week at local YMCAs (90–120 min/week) and were prescribed 2–3 days per week …

Four Academic And Community Health Systems Partner To Address Palliative Care Disparities Among African Americans, Anna Jones

Browse All News

No abstract provided.

Choices Related To Maximizing Quality Of Life At End Of Life, Theresa Lynn

Dissertations

Humans, including those residing in the United States, can live in denial of their own mortality. Because of this, futile care is sometimes provided, often at great monetary expense and for little or no return in terms of quality or length of life. At least two opportunities exist for making choices regarding care at the end of life in the U.S.: completing advance directives and choosing hospice care.

Covid-19-Related Stressful Experiences And Posttraumatic Stress Disorder Symptoms Among College Students In China: A Moderated Mediation Model Of Perceived Control Over The Future And Empathy, Zhi Ye, Chengbo Zeng, Xueying Yang, Cheuk-Chi Tam, Yuyan Wang, Shan Qiao Ph.D., Xiaoming Li Ph.D., Danhu Lin

Faculty Publications

The current study aims to investigate the mediating effect of perceived control over the future and the moderating effect of empathy on the association between stressful experiences and PTSD symptoms among college students in China in response to COVID-19. A sample of 1,225 college students (70.69% were female, M age=20.22 years, SD=2.02) were recruited using web-based surveys at wave 1 (W1) and wave 2 (W2) longitudinally. Results showed that COVID-19-related stressful experiences were significantly associated with PTSD symptoms. Perceived control over the future partially mediated the relationship between these two variables (indirect effect size=0.09, p < 0.01). Empathy significantly moderated the path from perceived control over the future to PTSD symptoms, suggesting that the association was stronger for individuals with higher levels of empathy. Findings suggest a protective effect of perceived control over the future on college students’ PTSD symptoms during the COVID-19 pandemic. Such a protective effect was intensified by empathy. Future intervention to manage PTSD symptoms should be tailored to positive future expectations and empathy.

Effects Of Tai Chi Practice On Postural Sway During Standing Balance, Di Wang, Ying Gao, Matthew T.G. Pain

ISBS Proceedings Archive

The purpose of this study was to investigate the effects of Tai Chi practice on postural sway during standing. Thirty-eight older people participated during COVID-19 extended restrictions, a Tai Chi group (n=18, more than five years’ experience) and a Control group (n=20, no Tai Chi experience). Postural sway was quantified under four different conditions:1) eyes open (EO); 2) eyes closed (EC); 3) eyes open and cross step with right leg forward (ER) and 4) cross step with left leg forward (EL). Significantly less postural sway was observed in Tai Chi group, particularly during EO and EL conditions. The findings of …

Effect Of Downhill Running On Biomechanical Risk Factors Associated With Iliotibial Band Syndrome, Leon Robertz, Kevin Bill, Uwe Kersting, Igor Kommik, Markus Kurz, Patrick Mai, Wolfgang Potthast, Steffen Willwacher

ISBS Proceedings Archive

The purpose of this study was to identify the influence of downhill running on biomechanical risk factors for iliotibial band syndrome. We conducted a 3D motion analysis of 22 females and males running on an instrumented treadmill at four different inclinations (0%, -5%, -10%, -15%) at a speed of 3.5 m/s. We found significant differences for biomechanical risk factors associated with iliotibial band syndrome. Peak knee flexion angle at initial ground contact (p < .001), peak knee adduction angle (p = .005), and iliotibial band strain (p < .001) systematically increased with increasing slope. Downhill running increases biomechanical risk factors for iliotibial band syndrome. Our results highlight the need to consider the individual running environment in assessing overuse injury risk in runners.

Correlations Of Postural Control To Proprioception, Tactile Sensation And Muscle Strength Among Older Adults, Fang Liu, Qipeng Song, Daniel Fong Dr

ISBS Proceedings Archive

Background: Falls are one of the most important causes of physical injury and death in older adults. Postural control is associated with an elevated risk of falls in older adults. the purpose of this study was to assess the correlation between static/dynamic postural control ability and proprioception, plantar skin touch, and muscle strength in older adults.

Method: Partial correlation analysis was used to quantitatively analyze the correlation between plantar tactile sensitivity, proprioception, lower limb muscle strength and postural control, and regression analysis was used to build an effective model of human postural control.

Result: The postural control of the older …

Selfies And The Self: The Influence Of Instagram Posting On Self And Cognition, Giovanni Castillo

Theses

Research on Social Networking Sites (SNS) has shown a variety of both beneficial and detrimental psychological and cognitive outcomes associated with high frequency usage. We conducted an online study consisting of a series of questionnaires and a working memory task to explore the relationship between Instagram use intensity and cognition. The present study first investigated the relationship between Instagram (IG) use intensity, rumination, and cognitive failures. We randomly assigned participants into a selfie-posting, selfie-sending, or likes/comments reporting condition to determine whether selfie-posting behavior affects working memory performance. While we did not find significant associations between IG use intensity, rumination, and …

Socioeconomic Inequality Of Long-Term Care For Older People With And Without Dementia In England, B Hu, S Read, R Wittenberg, N Brimblecombe, Et Al

Peninsula Medical School

Ensuring distributive fairness in the long-term care sector is vitally important in the context of global population ageing and rising care needs. This study, part of the DETERMIND (DETERMinants of quality of life, care and costs, and consequences of INequalities in people with Dementia and their carers) programme, investigates socioeconomic inequality and inequity in the utilisation of long-term care for older people with and without dementia in England. The data come from three waves of the English Longitudinal Study of Ageing (ELSA, Waves 6–8, N = 16,458). We find that older people with dementia have higher levels of care needs …

Standalone, Supplemental, And Embedded Microlearning Development Alternatives For Federal Programs During A Pandemic, Tod M. Hebenton

Instructional Design Capstones Collection

Microlearning has been studied since the early 2000’s. Comparisons of microlearning and eLearning are found throughout the research. Some research has presented developing microlearning as an alternative to developing eLearning courses. However, this action research paper is written in support of developing microlearning to be implemented alongside or as a component of eLearning. Microlearning benefits learners because it can be developed as standalone, supplemental, or embedded course content. A literature review and close examination of a series of microlearning videos developed for a federal program will highlight how microlearning can be developed as standalone or supplemental course content that can …

Co-Design To Support Engagement In Activities Of Daily Living And Meaningful Activities For People Living With Dementia, Michael Wilson, Julie Doyle, Ann Marron, Jonathan Turner, Ciaran Nugent, Dympna O'Sullivan

Articles

Dementia is a chronic and progressive neurodegenerative illness, which can lead to significant difficulties in a person’s capacity to perform activities of daily living and engage in meaningful activities. The Smart Dementia Care project aims to establish an understanding of how best to design digital tools that persons with dementia and their carers will find useful and usable for care planning and goal setting. This paper discusses the first phase of this project and describes how co-design is being used to support engagement in activities of daily living and meaningful activities for people living with the early stages of dementia, …